Individual provider · Type 1 NPI

Marvin D. Harris, MA

Professional Counselor · Chicago, IL

NPI number 1790968501 Active

Practice location

4655 S King Dr, Suite 105
Chicago, IL 60653-4138

Call (773) 699-2470 Map

Fax (773) 268-8756

Mailing address

5120 S Harper Ave Apt C1
Chicago, IL 60615-4194

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180006699 (IL)

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About NPI 1790968501

Marvin D. Harris, MA's National Provider Identifier is 1790968501, issued on Dec 14, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on May 6, 2008.